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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

FLAGSTAFF MEDICAL CENTER

Flagstaff, AZ · CCN 030023 · Rates published

4,645 distinct procedures filed
42 distinct payers
730,801 rate rows
2026-08-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nahealth.com/wp-content/uploads/2026/03/860110232_FLAGSTAFFMEDICALCENTER_standardcharges.zip
Found on page https://www.nahealth.com/billing-insurance/committed-price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint ecb5d7a4eefbe29a… · 17,835,912 bytes · first seen 2026-05-18

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $193,069.00 $1,443,405.30 $707,303.32 nat. median
$168,055
outlier · 4.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $508,817.63 $562,443.01 $508,817.63 nat. median
$173,018
outlier · 2.9×
7
MS_DRG 		Lung Transplant 21 $249,031.99 $1,012,082.78 $495,955.28 nat. median
$70,649
outlier · 7.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $364,029.06 $769,293.52 $376,988.54 nat. median
$186,516
outlier · 2.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $277,168.48 $586,099.78 $287,223.61 nat. median
$131,925
outlier · 2.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $12,332.28 $582,660.12 $285,538.18 nat. median
$145,435
2.0× median
5834
APR_DRG 		Neonate With Ecmo 13 $253,439.85 $280,150.43 $253,439.85 nat. median
$390,362
0.6× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 13 $253,029.98 $279,697.35 $253,029.98 nat. median
$91,950
outlier · 2.8×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $8,301.43 $432,418.84 $216,209.42 nat. median
$97,418
outlier · 2.2×
5833
APR_DRG 		Neonate With Ecmo 13 $203,600.51 $225,058.41 $203,600.51 nat. median
$268,208
0.8× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $202,121.97 $223,424.05 $202,121.97 nat. median
$54,727
outlier · 3.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $200,754.96 $221,912.96 $200,754.96 nat. median
$286,698
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $21,694.12 $447,880.06 $165,063.72 nat. median
$65,418
outlier · 2.5×
24
APR_DRG 		Heart And/or Lung Transplant 13 $164,328.62 $181,647.56 $164,328.62 nat. median
$225,531
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $6,550.72 $329,907.44 $161,689.37 nat. median
$72,715
outlier · 2.2×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 21 $123,971.86 $307,707.80 $153,853.90 nat. median
$41,943
outlier · 3.7×
8634
APR_DRG 		Neonatal Aftercare 13 $152,692.82 $168,785.44 $152,692.82 nat. median
$79,210
1.9× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 22 $13,356.82 $298,508.58 $146,303.92 nat. median
$74,509
2.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 13 $144,834.75 $160,099.20 $144,834.75 nat. median
$202,242
0.7× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 $140,712.54 $155,542.54 $140,712.54 nat. median
$75,821
1.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $9,801.76 $322,195.66 $138,722.85 nat. median
$69,922
2.0× median
5832
APR_DRG 		Neonate With Ecmo 13 $138,146.04 $152,705.55 $138,146.04 nat. median
$201,678
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 13 $137,065.00 $151,510.58 $137,065.00 nat. median
$171,497
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 $134,268.46 $148,419.31 $134,268.46 nat. median
$198,578
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 22 $30,630.31 $424,157.74 $133,967.87 nat. median
$73,023
1.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $126,603.97 $278,255.40 $131,624.69 nat. median
$69,822
1.9× median
8411
APR_DRG 		Chemotherapy For Acute Leukemia 13 $131,348.34 $145,191.42 $131,348.34 nat. median
$23,507
outlier · 5.6×
8412
APR_DRG 		Extensive Third Degree Burns With Skin Graft 13 $131,348.34 $145,191.42 $131,348.34 nat. median
$27,312
outlier · 4.8×
8434
APR_DRG 		Extensive Third Degree Burns Without Skin Graft 13 $125,936.97 $139,209.74 $125,936.97 nat. median
$16,968
outlier · 7.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 13 $124,631.70 $137,766.90 $124,631.70 nat. median
$149,836
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $122,372.29 $135,269.37 $122,372.29 nat. median
$173,134
0.7× median
6
MS_DRG 		Liver Transplant Without Mcc 21 $48,303.21 $241,580.14 $120,790.07 nat. median
$31,278
outlier · 3.9×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 $119,708.50 $132,324.84 $119,708.50 nat. median
$181,762
0.7× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 22 $19,368.90 $273,655.62 $119,230.78 nat. median
$2,106
outlier · 56.6×
8
MS_DRG 		Simultaneous Pancreas And Kidney Transplant 21 $37,748.71 $259,240.09 $117,281.03 nat. median
$32,772
outlier · 3.6×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 $115,292.45 $127,443.37 $115,292.45 nat. median
$187,567
0.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 13 $113,792.75 $125,785.62 $113,792.75 nat. median
$168,439
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 21 $108,994.69 $239,524.89 $113,426.61 nat. median
$60,505
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $108,649.78 $230,684.58 $113,070.16 nat. median
$59,651
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 13 $112,614.79 $124,483.50 $112,614.79 nat. median
$152,792
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 22 $24,642.95 $380,364.63 $110,457.60 nat. median
$47,121
outlier · 2.3×
5831
APR_DRG 		Neonate With Ecmo 13 $109,152.05 $120,655.83 $109,152.05 nat. median
$173,909
0.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 $104,925.90 $214,063.64 $107,031.82 nat. median
$49,569
outlier · 2.2×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 $106,600.59 $117,835.46 $106,600.59 nat. median
$115,963
0.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 13 $106,495.95 $117,719.79 $106,495.95 nat. median
$136,566
0.8× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 $11,035.52 $309,459.64 $105,879.17 nat. median
$56,428
1.9× median
570
MS_DRG 		Skin Debridement With Mcc 22 $52,272.79 $211,563.98 $103,701.07 nat. median
$20,813
outlier · 5.0×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 $15,834.21 $240,387.43 $103,316.72 nat. median
$55,923
1.8× median
8423
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 13 $103,024.03 $113,881.96 $103,024.03 nat. median
$32,270
outlier · 3.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 $16,137.17 $227,912.64 $102,871.48 nat. median
$55,935
1.8× median

Other procedures at this hospital

Browse this hospital's 4,645 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 22 — — $193,069.00 $1,443,405.30 $707,303.32 2026-08-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $508,817.63 $562,443.01 $508,817.63 2026-08-01
7 MS_DRG Lung Transplant 23 21 — — $249,031.99 $1,012,082.78 $495,955.28 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 20 — — $364,029.06 $769,293.52 $376,988.54 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 21 — — $277,168.48 $586,099.78 $287,223.61 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 22 — — $12,332.28 $582,660.12 $285,538.18 2026-08-01
5834 APR_DRG Neonate With Ecmo 13 13 — — $253,439.85 $280,150.43 $253,439.85 2026-08-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $253,029.98 $279,697.35 $253,029.98 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 22 — — $8,301.43 $432,418.84 $216,209.42 2026-08-01
5833 APR_DRG Neonate With Ecmo 13 13 — — $203,600.51 $225,058.41 $203,600.51 2026-08-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $202,121.97 $223,424.05 $202,121.97 2026-08-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $200,754.96 $221,912.96 $200,754.96 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 21 — — $21,694.12 $447,880.06 $165,063.72 2026-08-01
24 APR_DRG Heart And/or Lung Transplant 13 13 — — $164,328.62 $181,647.56 $164,328.62 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 23 21 — — $6,550.72 $329,907.44 $161,689.37 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 23 21 — — $123,971.86 $307,707.80 $153,853.90 2026-08-01
8634 APR_DRG Neonatal Aftercare 13 13 — — $152,692.82 $168,785.44 $152,692.82 2026-08-01
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 24 22 — — $13,356.82 $298,508.58 $146,303.92 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 13 13 — — $144,834.75 $160,099.20 $144,834.75 2026-08-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 13 — — $140,712.54 $155,542.54 $140,712.54 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 21 — — $9,801.76 $322,195.66 $138,722.85 2026-08-01
5832 APR_DRG Neonate With Ecmo 13 13 — — $138,146.04 $152,705.55 $138,146.04 2026-08-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $137,065.00 $151,510.58 $137,065.00 2026-08-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 13 — — $134,268.46 $148,419.31 $134,268.46 2026-08-01
215 MS_DRG Other Heart Assist System Implant 24 22 — — $30,630.31 $424,157.74 $133,967.87 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 23 21 — — $126,603.97 $278,255.40 $131,624.69 2026-08-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 13 13 — — $131,348.34 $145,191.42 $131,348.34 2026-08-01
8411 APR_DRG Chemotherapy For Acute Leukemia 13 13 — — $131,348.34 $145,191.42 $131,348.34 2026-08-01
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft 13 13 — — $125,936.97 $139,209.74 $125,936.97 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $124,631.70 $137,766.90 $124,631.70 2026-08-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $122,372.29 $135,269.37 $122,372.29 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 23 21 — — $48,303.21 $241,580.14 $120,790.07 2026-08-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 13 — — $119,708.50 $132,324.84 $119,708.50 2026-08-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 23 22 — — $19,368.90 $273,655.62 $119,230.78 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 21 — — $37,748.71 $259,240.09 $117,281.03 2026-08-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 13 — — $115,292.45 $127,443.37 $115,292.45 2026-08-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $113,792.75 $125,785.62 $113,792.75 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 23 21 — — $108,994.69 $239,524.89 $113,426.61 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 21 — — $108,649.78 $230,684.58 $113,070.16 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 13 — — $112,614.79 $124,483.50 $112,614.79 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 22 — — $24,642.95 $380,364.63 $110,457.60 2026-08-01
5831 APR_DRG Neonate With Ecmo 13 13 — — $109,152.05 $120,655.83 $109,152.05 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 23 21 — — $104,925.90 $214,063.64 $107,031.82 2026-08-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 13 — — $106,600.59 $117,835.46 $106,600.59 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $106,495.95 $117,719.79 $106,495.95 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 22 — — $11,035.52 $309,459.64 $105,879.17 2026-08-01
570 MS_DRG Skin Debridement With Mcc 25 22 — — $52,272.79 $211,563.98 $103,701.07 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $15,834.21 $240,387.43 $103,316.72 2026-08-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $103,024.03 $113,881.96 $103,024.03 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 24 22 — — $16,137.17 $227,912.64 $102,871.48 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 21 — — $98,451.78 $209,176.44 $102,531.18 2026-08-01
1613 APR_DRG Implantable Heart Assist Systems 13 13 — — $100,975.94 $111,618.01 $100,975.94 2026-08-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $98,875.01 $109,295.66 $98,875.01 2026-08-01
2324 APR_DRG Gastric Fundoplication 13 13 — — $98,052.30 $108,386.25 $98,052.30 2026-08-01
10 MS_DRG Pancreas Transplant 23 21 — — $26,378.42 $199,803.69 $96,556.18 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 23 21 — — $92,631.05 $196,900.20 $96,515.82 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 22 — — $5,709.07 $307,428.97 $96,003.33 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 22 — — $17,980.22 $300,518.79 $95,946.83 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 24 22 — — $8,777.65 $213,490.97 $93,006.42 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 23 21 — — $86,883.21 $218,799.29 $90,575.79 2026-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 23 22 — — $16,332.54 $182,065.50 $89,246.82 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $16,134.28 $205,146.51 $88,480.10 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 22 — — $14,558.27 $226,729.73 $88,480.10 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 23 21 — — $72,515.71 $179,844.70 $88,158.62 2026-08-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $88,058.22 $97,338.87 $88,058.22 2026-08-01
64 APR_DRG Pancreas Transplant 13 13 — — $88,017.03 $97,293.34 $88,017.03 2026-08-01
23 APR_DRG Heart And/or Lung Transplant 13 13 — — $86,379.17 $95,482.86 $86,379.17 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 21 — — $84,639.05 $172,661.90 $86,330.95 2026-08-01
Q2043 HCPCS Sipuleucel-t >/ 50 Million Cells / 250mL Lr 62 40 $253,329.13 $126,664.57 50% off $53,533.64 $253,329.13 $85,135.68 2026-08-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $84,654.45 $93,576.37 $84,654.45 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 24 22 — — $28,775.20 $167,642.92 $83,821.46 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 22 — — $35,632.47 $262,719.83 $82,468.78 2026-08-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 23 22 — — $34,607.75 $167,900.60 $82,306.01 2026-08-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $81,659.82 $90,266.12 $81,659.82 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 22 — — $15,548.86 $203,273.57 $81,583.70 2026-08-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $81,458.31 $90,043.38 $81,458.31 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 24 22 — — $9,409.83 $166,090.70 $80,853.30 2026-08-01
276 MS_DRG Non-maligant Breast Disorders 24 22 — — $25,126.13 $181,463.63 $80,830.43 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $18,886.27 $163,695.06 $80,245.30 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 25 22 — — $4,154.19 $193,938.42 $79,981.66 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 23 21 — — $6,118.79 $229,272.99 $79,796.05 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 22 — — $16,891.75 $184,095.61 $78,974.17 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 22 — — $8,394.53 $160,996.60 $78,923.05 2026-08-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $78,804.05 $87,109.38 $78,804.05 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 24 22 — — $21,358.06 $156,786.88 $78,393.44 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 — — $9,991.92 $175,844.80 $77,113.88 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 22 — — $7,722.84 $156,458.90 $76,699.58 2026-08-01
278 MS_DRG Cellulitis Age >17 Without Cc 24 22 — — $4,069.39 $152,799.64 $74,906.54 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 23 21 — — $71,158.66 $170,398.47 $74,325.46 2026-08-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 13 — — $74,236.20 $82,060.11 $74,236.20 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 24 22 — — $6,740.27 $150,705.10 $73,880.22 2026-08-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $73,691.59 $81,458.11 $73,691.59 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 23 21 — — $70,475.32 $150,172.54 $73,619.26 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 24 22 — — $16,001.23 $179,137.24 $73,514.35 2026-08-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $73,411.12 $81,148.08 $73,411.12 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 24 22 — — $10,951.37 $149,722.34 $73,398.67 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 23 21 — — $6,730.22 $156,987.21 $73,105.44 2026-08-01
22 APR_DRG Heart And/or Lung Transplant 13 13 — — $72,417.38 $80,049.60 $72,417.38 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $17,958.97 $184,519.49 $71,767.04 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 22 — — $9,168.12 $269,092.76 $71,452.87 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 21 — — $67,947.62 $144,841.50 $71,007.05 2026-08-01
1611 APR_DRG Implantable Heart Assist Systems 13 13 — — $70,723.06 $78,176.71 $70,723.06 2026-08-01
1612 APR_DRG Implantable Heart Assist Systems 13 13 — — $70,723.06 $78,176.71 $70,723.06 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 24 22 — — $13,164.92 $142,895.20 $70,053.37 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 22 — — $11,502.02 $146,779.66 $68,549.56 2026-08-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 13 13 — — $68,538.29 $75,761.68 $68,538.29 2026-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $68,450.86 $75,665.04 $68,450.86 2026-08-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 13 — — $68,263.94 $75,458.43 $68,263.94 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 22 — — $23,401.73 $174,982.26 $67,831.24 2026-08-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $67,609.72 $74,735.26 $67,609.72 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 22 — — $22,148.54 $134,831.72 $67,415.86 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 22 — — $13,851.61 $215,674.43 $66,582.96 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 24 21 — — $63,552.14 $156,878.78 $66,464.60 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 24 22 — — $6,906.96 $135,107.24 $66,237.27 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 22 — — $5,853.85 $134,544.50 $65,961.52 2026-08-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 13 — — $65,029.68 $71,883.30 $65,029.68 2026-08-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 13 — — $64,893.48 $71,732.75 $64,893.48 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $64,150.04 $70,910.95 $64,150.04 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 22 — — $50,965.49 $241,866.07 $64,072.98 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 22 — — $9,701.09 $155,572.64 $63,273.97 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 22 — — $7,656.50 $128,796.16 $63,144.84 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 22 — — $10,309.36 $147,188.75 $62,956.54 2026-08-01
277 MS_DRG Cellulitis Age >17 W Cc 23 21 — — $59,385.72 $156,592.90 $62,158.87 2026-08-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 23 22 — — $44,579.63 $146,158.35 $61,985.36 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 23 21 — — $59,099.39 $131,081.44 $61,862.96 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 24 22 — — $5,628.26 $125,858.90 $61,705.58 2026-08-01
245 MS_DRG Aicd Generator Procedures 24 22 — — $16,230.88 $125,243.96 $61,404.26 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 22 — — $7,762.99 $124,867.90 $61,219.99 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 22 — — $12,545.56 $194,874.89 $61,193.10 2026-08-01
799 MS_DRG Splenectomy With Mcc 23 21 — — $58,219.50 $124,324.34 $60,953.65 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 22 — — $7,128.46 $140,411.65 $60,302.62 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 22 — — $9,650.56 $177,121.36 $60,065.87 2026-08-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $60,035.67 $66,362.96 $60,035.67 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 24 21 — — $56,448.04 $401,650.95 $59,836.65 2026-08-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 13 — — $59,722.36 $66,016.62 $59,722.36 2026-08-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 13 — — $59,167.03 $65,402.77 $59,167.03 2026-08-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 13 — — $59,077.17 $65,303.44 $59,077.17 2026-08-01
8633 APR_DRG Neonatal Aftercare 13 13 — — $58,634.43 $64,814.04 $58,634.43 2026-08-01
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 24 22 — — $5,859.88 $118,792.92 $58,243.25 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 22 — — $8,356.42 $117,845.84 $57,779.18 2026-08-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 13 — — $57,564.54 $63,631.39 $57,564.54 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 25 22 — — $9,234.10 $117,088.20 $57,407.94 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 22 — — $33,802.76 $225,191.94 $57,160.09 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 23 21 — — $54,240.53 $115,932.48 $56,841.64 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 22 — — $8,688.18 $115,734.82 $56,744.78 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 21 — — $54,119.48 $135,975.73 $56,716.54 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 24 22 — — $6,719.85 $115,339.54 $56,551.09 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 22 — — $7,404.95 $115,202.30 $56,483.85 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 24 22 — — $15,525.68 $133,669.06 $56,378.92 2026-08-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 13 13 — — $56,222.71 $62,148.14 $56,222.71 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 22 — — $25,656.64 $148,593.46 $56,161.01 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 25 22 — — $4,154.19 $114,461.10 $56,120.66 2026-08-01
21 APR_DRG Heart And/or Lung Transplant 13 13 — — $55,982.29 $61,882.39 $55,982.29 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 24 22 — — $11,686.81 $114,005.40 $55,897.37 2026-08-01
8422 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 13 13 — — $55,851.51 $61,737.82 $55,851.51 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 22 — — $15,894.29 $113,250.48 $55,527.46 2026-08-01
791 MS_DRG Prematurity With Major Problems 25 22 — — $4,154.19 $111,642.44 $54,632.96 2026-08-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $53,806.78 $59,477.59 $53,806.78 2026-08-01
5881 APR_DRG Female Reproductive System Reconstructive Procedures 13 13 — — $53,706.52 $59,366.77 $53,706.52 2026-08-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 13 — — $53,695.13 $59,354.18 $53,695.13 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 22 — — $7,216.45 $109,368.88 $53,625.47 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $53,276.84 $58,891.80 $53,276.84 2026-08-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 13 — — $53,131.47 $58,731.11 $53,131.47 2026-08-01
63 APR_DRG Pancreas Transplant 13 13 — — $52,959.67 $58,541.20 $52,959.67 2026-08-01
4404 APR_DRG Kidney Transplant 13 13 — — $52,802.99 $58,368.01 $52,802.99 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 22 — — $16,653.60 $145,719.97 $52,654.29 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 23 21 — — $49,958.28 $106,900.98 $52,416.20 2026-08-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 13 13 — — $52,302.68 $57,814.97 $52,302.68 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 22 — — $12,742.49 $107,028.89 $52,100.09 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 25 22 — — $8,497.79 $105,995.10 $51,972.32 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 24 22 — — $9,621.01 $105,393.90 $51,677.73 2026-08-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 13 — — $51,392.14 $56,808.47 $51,392.14 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 23 21 — — $48,250.59 $135,561.72 $50,651.42 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 22 — — $8,961.71 $102,849.18 $50,430.82 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 24 22 — — $13,927.12 $104,150.47 $50,311.10 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 22 — — $33,553.56 $102,593.90 $50,305.73 2026-08-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $50,197.76 $55,488.21 $50,197.76 2026-08-01
1784 APR_DRG External Heart Assist Systems 13 13 — — $50,180.00 $55,468.58 $50,180.00 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 23 21 — — $47,779.42 $102,305.64 $50,164.48 2026-08-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 13 13 — — $50,115.05 $55,396.78 $50,115.05 2026-08-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 13 — — $50,000.00 $50,000.00 $50,000.00 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 13 — — $50,000.00 $50,000.00 $50,000.00 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 22 — — $11,216.40 $127,719.99 $49,882.01 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 13 — — $49,842.53 $55,095.54 $49,842.53 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 13 — — $49,680.77 $54,916.74 $49,680.77 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 24 22 — — $8,236.16 $100,831.52 $49,442.16 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 21 — — $47,060.94 $100,790.34 $49,421.99 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 23 22 — — $27,268.51 $100,414.24 $49,237.70 2026-08-01
J2507 HCPCS Pegloticase (Krystexxa) 8mg/mL Inj 62 40 $222,406.13 $111,203.07 50% off $29,668.06 $222,406.13 $48,994.51 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 25 22 — — $7,622.04 $99,607.18 $48,842.24 2026-08-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 13 — — $48,809.36 $53,953.49 $48,809.36 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 25 22 — — $8,077.76 $99,530.30 $48,804.57 2026-08-01
332 MS_DRG Rectal Resection With Mcc 25 22 — — $8,973.09 $99,393.04 $48,737.31 2026-08-01
265 MS_DRG Aicd Lead Procedures 24 22 — — $12,667.44 $109,389.79 $48,703.68 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 25 22 — — $7,014.82 $99,148.74 $48,617.60 2026-08-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $48,567.01 $53,685.60 $48,567.01 2026-08-01
279 MS_DRG Cellulitis Age 0-17 24 22 — — $3,534.28 $99,000.50 $48,544.96 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 25 22 — — $13,806.29 $98,352.64 $48,227.51 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 22 — — $10,478.61 $110,010.82 $48,115.88 2026-08-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 13 13 — — $48,080.97 $53,148.33 $48,080.97 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 25 22 — — $6,606.54 $104,652.18 $48,067.45 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 22 — — $6,017.05 $121,110.47 $47,996.15 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 22 — — $8,359.45 $97,798.14 $47,955.81 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 22 — — $5,178.17 $97,704.82 $47,910.08 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 25 22 — — $15,568.94 $97,625.18 $47,871.06 2026-08-01
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 24 22 — — $9,140.79 $140,548.80 $47,768.54 2026-08-01
J0202 HCPCS Alemtuzumab 10mg/mL Inj 1.2mL Dns 62 40 $218,168.08 $109,084.04 50% off $28,895.38 $218,168.08 $47,718.49 2026-08-01
62 APR_DRG Pancreas Transplant 13 13 — — $47,473.27 $52,476.59 $47,473.27 2026-08-01
61 APR_DRG Pancreas Transplant 13 13 — — $47,473.27 $52,476.59 $47,473.27 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 25 22 — — $23,960.40 $96,809.90 $47,471.57 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 25 22 — — $5,933.46 $96,612.24 $47,374.72 2026-08-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $47,357.83 $52,348.97 $47,357.83 2026-08-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 13 — — $47,092.50 $52,055.68 $47,092.50 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 25 22 — — $9,248.11 $95,758.54 $46,956.40 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 25 22 — — $6,968.27 $95,733.80 $46,944.28 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 25 22 — — $7,223.39 $95,294.56 $46,729.05 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 24 21 — — $44,236.48 $94,833.40 $46,503.09 2026-08-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 13 — — $46,314.34 $51,195.51 $46,314.34 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 24 22 — — $3,847.64 $94,114.16 $46,150.66 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 13 — — $46,150.04 $51,013.90 $46,150.04 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 25 22 — — $10,528.71 $111,238.09 $45,924.68 2026-08-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 13 — — $45,895.74 $50,732.79 $45,895.74 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 22 — — $8,614.71 $105,742.48 $45,864.15 2026-08-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 13 13 — — $45,850.64 $50,682.93 $45,850.64 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 13 — — $45,614.03 $50,421.39 $45,614.03 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 13 13 — — $45,320.33 $50,096.74 $45,320.33 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 13 13 — — $45,153.71 $49,912.56 $45,153.71 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 25 22 — — $6,546.85 $91,703.92 $44,969.64 2026-08-01
71 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $44,842.33 $49,568.36 $44,842.33 2026-08-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 13 13 — — $44,489.35 $49,178.17 $44,489.35 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 23 21 — — $42,267.16 $109,552.44 $44,467.92 2026-08-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 13 13 — — $44,344.89 $49,018.49 $44,344.89 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 25 22 — — $14,480.50 $90,372.54 $44,317.26 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 21 — — $42,116.18 $90,361.58 $44,311.89 2026-08-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 13 13 — — $44,228.00 $48,889.28 $44,228.00 2026-08-01
6904 APR_DRG Acute Leukemia 13 13 — — $43,867.06 $48,490.30 $43,867.06 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 25 22 — — $9,379.37 $89,293.70 $43,788.63 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 22 — — $5,750.71 $88,901.16 $43,596.29 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 25 22 — — $6,533.40 $88,802.32 $43,547.86 2026-08-01
652 MS_DRG Kidney Transplant 23 21 — — $15,762.25 $110,099.53 $43,475.23 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 22 — — $7,414.48 $88,588.22 $43,442.95 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 25 22 — — $6,959.96 $95,322.99 $43,358.21 2026-08-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 13 13 — — $43,312.28 $47,877.05 $43,312.28 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 25 22 — — $18,634.06 $88,129.76 $43,218.30 2026-08-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 13 — — $43,038.61 $47,574.55 $43,038.61 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 24 22 — — $12,587.41 $109,611.58 $42,981.57 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 25 22 — — $10,629.87 $87,688.28 $42,902.20 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 22 — — $10,987.28 $87,399.58 $42,860.51 2026-08-01
4234 APR_DRG Inborn Errors Of Metabolism 13 13 — — $42,859.27 $47,376.30 $42,859.27 2026-08-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 13 13 — — $42,609.80 $47,100.54 $42,609.80 2026-08-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 13 13 — — $42,608.53 $47,099.14 $42,608.53 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 25 22 — — $10,319.74 $86,877.98 $42,604.93 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 25 22 — — $8,730.00 $86,746.22 $42,540.37 2026-08-01
324 MS_DRG Urinary Stones Without Cc 25 22 — — $11,713.81 $86,499.16 $42,419.31 2026-08-01
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 25 22 — — $4,866.13 $82,659.56 $42,406.43 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 24 22 — — $18,626.53 $170,206.25 $42,399.14 2026-08-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $42,357.33 $46,821.46 $42,357.33 2026-08-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 13 13 — — $42,357.33 $46,821.46 $42,357.33 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 25 22 — — $9,379.37 $86,254.84 $42,299.59 2026-08-01
665 MS_DRG Prostatectomy With Mcc 25 22 — — $7,024.71 $85,681.12 $42,018.47 2026-08-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 13 13 — — $41,952.63 $46,374.10 $41,952.63 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 22 — — $9,663.36 $85,502.68 $41,931.03 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 23 21 — — $39,740.77 $145,281.31 $41,857.05 2026-08-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 13 13 — — $41,726.17 $46,123.78 $41,726.17 2026-08-01
7594 APR_DRG Eating Disorders 13 13 — — $41,623.33 $46,010.10 $41,623.33 2026-08-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 13 13 — — $41,295.20 $45,647.39 $41,295.20 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 24 21 — — $39,119.91 $84,042.28 $41,215.44 2026-08-01
263 MS_DRG Vein Ligation And Stripping 25 22 — — $11,004.91 $83,929.70 $41,160.27 2026-08-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 13 — — $40,945.30 $45,260.61 $40,945.30 2026-08-01
954 APR_DRG Cleft Lip And Palate Repair 13 13 — — $40,928.40 $45,241.93 $40,928.40 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 25 22 — — $11,348.36 $90,645.56 $40,834.77 2026-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 25 22 — — $8,042.76 $81,447.86 $40,723.93 2026-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 25 22 — — $10,319.74 $82,916.78 $40,663.94 2026-08-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 25 22 — — $8,223.79 $82,905.80 $40,658.56 2026-08-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 25 22 — — $12,599.78 $82,815.20 $40,614.17 2026-08-01
214 APR_DRG Open Craniotomy Except Trauma 13 13 — — $40,564.69 $44,839.89 $40,564.69 2026-08-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 13 — — $40,421.97 $44,682.12 $40,421.97 2026-08-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 23 21 — — $39,380.78 $111,109.94 $40,149.04 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 25 22 — — $6,795.80 $84,450.06 $40,070.74 2026-08-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 13 — — $40,048.74 $44,269.57 $40,048.74 2026-08-01
6954 APR_DRG Chemotherapy For Acute Leukemia 13 13 — — $40,031.21 $44,250.19 $40,031.21 2026-08-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 13 — — $39,894.21 $44,098.75 $39,894.21 2026-08-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 13 — — $39,892.29 $44,096.63 $39,892.29 2026-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 25 22 — — $27,399.96 $80,874.40 $39,663.18 2026-08-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 23 21 — — $37,591.86 $112,297.78 $39,636.28 2026-08-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 13 13 — — $39,512.96 $43,677.31 $39,512.96 2026-08-01
1794 APR_DRG Defibrillator Implants 13 13 — — $39,313.78 $43,457.14 $39,313.78 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 25 22 — — $6,851.60 $80,157.92 $39,312.10 2026-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 25 22 — — $8,057.59 $82,360.25 $39,208.52 2026-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 25 22 — — $10,234.25 $79,663.76 $39,069.96 2026-08-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 25 22 — — $12,122.71 $99,793.41 $39,045.75 2026-08-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 25 22 — — $22,615.53 $88,821.90 $38,873.58 2026-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 24 21 — — $36,835.60 $83,267.15 $38,854.74 2026-08-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 25 22 — — $9,036.30 $79,373.40 $38,798.25 2026-08-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 13 — — $38,734.62 $42,816.95 $38,734.62 2026-08-01
914 APR_DRG Other Major Head And Neck Procedures 13 13 — — $38,681.97 $42,758.75 $38,681.97 2026-08-01
1694 APR_DRG Major Abdominal Vascular Procedures 13 13 — — $38,659.77 $42,734.21 $38,659.77 2026-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 22 20 — — $36,629.97 $90,645.56 $38,642.23 2026-08-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 13 13 — — $38,475.81 $42,530.86 $38,475.81 2026-08-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 25 22 — — $7,846.06 $79,984.57 $38,377.24 2026-08-01
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